Morning Report: 10/9/2012

MR is back from a small hiatus (vacation!). Here’s Dr. McMillan with today’s edition:   Here’s the case: You have a 47 year-old male who presents with shortness of breath and leg weakness…   Myasthenia Gravis and Myasthenic Crisis Myasthenia gravis (Gr mya- muscle; asthenia- paralysis; gravis- grave or serious): Read more…

Morning Report: 9/25/12

Thank you to Dr. Melendez for today’s Morning Report!   Thyroid Storm   Patients may have a known history of thyrotoxicosis. In the absence of previously diagnosed thyrotoxicosis, the history may include symptoms such as irritability, agitation, emotional lability, a voracious appetite with poor weight gain, excessive sweating and heat Read more…

Morning Report: 9/21/2012

Thanks Dr. Coquillon for today’s Morning Report!   Alteplase: Mechanism of Action Recombinant human tissue-type plasminogen activator (t-PA); produces local fibrinolysis Promotes thrombolysis by converting plasminogen to plasmin which degrades fibrin and fibrinogen Pharmacokinetics Initial Half-Life: 5 minutes (free unbound form) Terminal Half-life: 72 minutes Onset: Coronary thrombolysis occurs in Read more…

Morning Report: 9/18/2012

Today’s Morning Report comes courtesy of Dr. Melendez:   Posterior Knee Dislocation   Approximately 30 percent rate of amputation because the popliteal artery is interrupted and sometimes goes unrecognized In some instances, a knee will dislocate and relocate prior to medical evaluation. For this reason, it is quite important to evaluate Read more…

Morning Report: 9/7/2012

Thanks to Dr. Semenovskaya for today’s Morning Report!   Heat Illness   Heat Illness comprises a spectrum of disorders caused by environmental heat exposure. Can be subdivided into three relative stages:   1) Heat Cramps: Heavy sweating; muscle cramps and spasms 2) Heat Exhaustion: Weakness; cool, pale, clammy skin; may Read more…